A patient was diagnosed with pancreatic cancer last month, and has complained of a
dull ache in the abdomen for the past 4 months. This pain has been gradually
increasing, and the pain relievers taken at home are no longer effective. What type of
pain is the patient experiencing?
a.
Acute pain
b.
Chronic pain
c.
Somatic pain
d.
Neuropathic pain - ANSB
2. An 18-year-old basketball player fell and twisted his ankle during a game. The nurse
will expect to administer which type of analgesic?
a.
Synthetic opioid, such as meperidine (Demerol)
b.
Opium alkaloid, such as morphine sulfate
c.
Opioid antagonist, such as naloxone HCL (Narcan)
d.
Nonopioid analgesic, such as ibuprofen - ANSD
A patient is recovering from abdominal surgery, which he had this morning. He is groggy
but complaining of severe pain around his incision. What is the most important
assessment data to consider before the nurse administers a dose of morphine sulfate to
the patient?
a.
His pulse rate
b.
His respiratory rate
c.
The appearance of the incision
d.
The date of his last bowel movement - ANSB
78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As
he is gradually awakening, he requests pain medication. Within 10 minutes after
receiving a dose of morphine sulfate, he is very lethargic and his respirations are
,shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this
time?
a.
Assessment of the patient's pain level
b.
Immediate intubation and artificial ventilation
c.
Administration of naloxone (Narcan)
d.
Close observation of signs of opioid tolerance - ANSC
A patient will be discharged with a 1-week supply of an opioid analgesic for pain
management after abdominal surgery. The nurse will include which information in the
teaching plan?
a.
How to prevent dehydration due to diarrhea
b.
The importance of taking the drug only when the pain becomes severe
c.
How to prevent constipation
d.
The importance of taking the drug on an empty stomach - ANSC
A patient has been treated for lung cancer for 3 years. Over the past few months, the
patient has noticed that the opioid analgesic is not helping as much as it had previously
and more medication is needed for the same pain relief. The nurse is aware that this
patient is experiencing which of these?
a.
Opioid addiction
b.
Opioid tolerance
c.
Opioid toxicity
d.
Opioid abstinence syndrome - ANSB
A 38-year-old man has come into the urgent care center with severe hip pain after
falling from a ladder at work. He says he has taken several pain pills over the past few
hours but cannot remember how many he has taken. He hands the nurse an empty
,bottle of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect
of acute acetaminophen overdose is which condition?
a.
Tachycardia
b.
Central nervous system depression
c.
Hepatic necrosis
d.
Nephropathy - ANSC
A 57-year-old woman being treated for end-stage breast cancer has been using a
transdermal opioid analgesic as part of the management of pain. Lately, she has been
experiencing breakthrough pain. The nurse expects this type of pain to be managed by
which of these interventions?
a.
Administering NSAIDs
b.
Administering an immediate-release opioid
c.
Changing the opioid route to the rectal route
d.
Making no changes to the current therapy - ANSB
The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
a.
Muscle aches
b.
Migraine headaches
c.
Leg cramps
d.
Incision pain after surgery - ANSB
A patient is to receive acetylcysteine (Mucomyst) as part of the treatment for an
acetaminophen (Tylenol) overdose. Which action by the nurse is appropriate when
giving this medication?
a.
Giving the medication undiluted for full effect
b.
, Avoiding the use of a straw when giving this medication
c.
Disguising the flavor with soda or flavored water
d.
Preparing to give this medication via a nebulizer - ANSC
A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of
seizures. The nurse expects that the patient is receiving this drug for which condition?
a.
Inflammation pain
b.
Pain associated with peripheral neuropathy
c.
Depression associated with chronic pain
d.
Prevention of seizures - ANSB
The nurse is assessing a patient who has been admitted to the emergency department
for a possible opioid overdose. Which assessment finding is characteristic of an opioid
drug overdose?
a.
Dilated pupils
b.
Restlessness
c.
Respiration rate of 6 breaths/min
d.
Heart rate of 55 beats/min - ANSC
The drug nalbuphine (Nubain) is an agonist-antagonist (partial agonist). The nurse
understands that which is a characteristic of partial agonists?
a.
They have anti-inflammatory effects.
b.
They are given to reverse the effects of opiates.
c.
They have a higher potency than agonists.
d.
They have a lower dependency potential than agonists. - ANSD
dull ache in the abdomen for the past 4 months. This pain has been gradually
increasing, and the pain relievers taken at home are no longer effective. What type of
pain is the patient experiencing?
a.
Acute pain
b.
Chronic pain
c.
Somatic pain
d.
Neuropathic pain - ANSB
2. An 18-year-old basketball player fell and twisted his ankle during a game. The nurse
will expect to administer which type of analgesic?
a.
Synthetic opioid, such as meperidine (Demerol)
b.
Opium alkaloid, such as morphine sulfate
c.
Opioid antagonist, such as naloxone HCL (Narcan)
d.
Nonopioid analgesic, such as ibuprofen - ANSD
A patient is recovering from abdominal surgery, which he had this morning. He is groggy
but complaining of severe pain around his incision. What is the most important
assessment data to consider before the nurse administers a dose of morphine sulfate to
the patient?
a.
His pulse rate
b.
His respiratory rate
c.
The appearance of the incision
d.
The date of his last bowel movement - ANSB
78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As
he is gradually awakening, he requests pain medication. Within 10 minutes after
receiving a dose of morphine sulfate, he is very lethargic and his respirations are
,shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this
time?
a.
Assessment of the patient's pain level
b.
Immediate intubation and artificial ventilation
c.
Administration of naloxone (Narcan)
d.
Close observation of signs of opioid tolerance - ANSC
A patient will be discharged with a 1-week supply of an opioid analgesic for pain
management after abdominal surgery. The nurse will include which information in the
teaching plan?
a.
How to prevent dehydration due to diarrhea
b.
The importance of taking the drug only when the pain becomes severe
c.
How to prevent constipation
d.
The importance of taking the drug on an empty stomach - ANSC
A patient has been treated for lung cancer for 3 years. Over the past few months, the
patient has noticed that the opioid analgesic is not helping as much as it had previously
and more medication is needed for the same pain relief. The nurse is aware that this
patient is experiencing which of these?
a.
Opioid addiction
b.
Opioid tolerance
c.
Opioid toxicity
d.
Opioid abstinence syndrome - ANSB
A 38-year-old man has come into the urgent care center with severe hip pain after
falling from a ladder at work. He says he has taken several pain pills over the past few
hours but cannot remember how many he has taken. He hands the nurse an empty
,bottle of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect
of acute acetaminophen overdose is which condition?
a.
Tachycardia
b.
Central nervous system depression
c.
Hepatic necrosis
d.
Nephropathy - ANSC
A 57-year-old woman being treated for end-stage breast cancer has been using a
transdermal opioid analgesic as part of the management of pain. Lately, she has been
experiencing breakthrough pain. The nurse expects this type of pain to be managed by
which of these interventions?
a.
Administering NSAIDs
b.
Administering an immediate-release opioid
c.
Changing the opioid route to the rectal route
d.
Making no changes to the current therapy - ANSB
The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
a.
Muscle aches
b.
Migraine headaches
c.
Leg cramps
d.
Incision pain after surgery - ANSB
A patient is to receive acetylcysteine (Mucomyst) as part of the treatment for an
acetaminophen (Tylenol) overdose. Which action by the nurse is appropriate when
giving this medication?
a.
Giving the medication undiluted for full effect
b.
, Avoiding the use of a straw when giving this medication
c.
Disguising the flavor with soda or flavored water
d.
Preparing to give this medication via a nebulizer - ANSC
A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of
seizures. The nurse expects that the patient is receiving this drug for which condition?
a.
Inflammation pain
b.
Pain associated with peripheral neuropathy
c.
Depression associated with chronic pain
d.
Prevention of seizures - ANSB
The nurse is assessing a patient who has been admitted to the emergency department
for a possible opioid overdose. Which assessment finding is characteristic of an opioid
drug overdose?
a.
Dilated pupils
b.
Restlessness
c.
Respiration rate of 6 breaths/min
d.
Heart rate of 55 beats/min - ANSC
The drug nalbuphine (Nubain) is an agonist-antagonist (partial agonist). The nurse
understands that which is a characteristic of partial agonists?
a.
They have anti-inflammatory effects.
b.
They are given to reverse the effects of opiates.
c.
They have a higher potency than agonists.
d.
They have a lower dependency potential than agonists. - ANSD
